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| 1 | Matched-pair analysis of postoperative morbidity and mortality for pancreaticogastrostomy and pancreaticojejunostomy using mattress sutures in soft pancreatic tissue remnants显示文摘BACKGROUND:After pancreaticoduodenectomy,the incidence of postoperative pancreatic fistula remains high,especially in patients with 'soft' pancreatic tissue remnants.No 'gold standard' surgical technique for pancreaticoenteric anastomosis has been established.This study aimed to compare the postoperative morbidity and mortality of pancreaticogastrostomy and pancreaticojejunostomy for 'soft' pancreatic tissue remnants using modified mattress sutures.METHODS:Seventy-five patients who had undergone pancreaticogastrostomy and 75 who had undergone pancreaticojejunostomy after pancreaticoduodenectomy between 2002 and 2008 were retrospectively compared using matched-pair analysis.A modified mattress suture technique was used for the pancreaticoenteric anastomosis.Patients with an underlying 'hard' pancreatic tissue remnant,as in chronic pancreatitis,were excluded.Both groups were homogeneous for age,gender,and underlying disease.Postoperative morbidity,mortality,and preoperative and operative data were analyzed.RESULTS:There were no significant differences between the groups for the incidence of postoperative pancreatic fistula (10.7% in both).Postoperative morbidity and mortality,median operation time,median length of hospital stay,intraoperative blood loss,and the amount of intraoperatively transfused erythrocyte concentrates also did not significantly differ between the groups.Patient age >65 years (P=0.017),operation time >350minutes (P=0.001),and intraoperative transfusion of erythrocyte concentrates (P=0.038) were identified as risk factors for postoperative morbidity.CONCLUSIONS:Our results showed no significant differences between the groups in the pancreaticogastrostomy and pancreaticojejunostomy anastomosis techniques using mattress sutures for 'soft' pancreatic tissue remnants.In our experience,the mattress sutures are safe and simple to use,and pancreaticogastrostomy in particular is feasible and easy to learn,with good endoscopic accessibility to the anastomosis region.However,the location of the anastomosis and the surgical technique need to be individually evaluated to further reduce the incidence of postoperative pancreatic fistula. | Fritz Klein Marcus Bahra Matthias Glanemann Wladimir Faber Peter Warnick Andreas Andreou Safak Gül Dietmar Jacob | 2012 | Hepatobiliary & Pancreatic Diseases International2012，11，1： | 9 |
| 2 | Uhrastructure of Two Toxic Marine Dinoflagellates, Prorocentrum Lima and Prorocentrum Maculosum 显示文摘 | Zhou J Fritz L | 1993 | Phycologia1993，32，6： | 1 |
| 3 | Avermectiu Bla irreversibly blocks postsynaptic potentials at the lobster neuromuscular junction by reducing muscle membrane resistance显示文摘 | Fritz L C Wang C C Corio A | 1979 | Proc Natl and Acad Science USA1979，76，： | 1 |
| 4 | Sodium and chloride distri-bution in roots and transport in three poplar genotypes un-der increasing NaCl stress显示文摘 | Chen S L Li J K Fritz E | 2002 | Forest Ecology and Manage-ment2002，168，： | 1 |
| 5 | Avermectin B1a irre-versibly blocks postsynaptic potentials at the lobster neuromuscular junction by reducing muscle membrane resis-tance,Proc,Natl,and Acad显示文摘 | Fritz L C Wang C C Gorio A | 1979 | Sci U S A1979，76，： | 1 |
| 6 | Onset and characteristics of the midcycle surge in bioactive and immunoactive luteinizing 显示文摘 | FRITZ M A MCLACHLAN R L COHEN N L | 2003 | Fert Sterl2003，12，2： | 1 |
| 7 | Soluble interleukin-2 receptors are released from activated human lymphoid cells in vitro显示文摘 | Rubin L A Kurman C C Fritz M E | 1985 | J Immunol1985，135，5： | 1 |
| 8 | Epidermal growth factor and sex steroids dynamically regulate a marker of endometrial receptivity in Ishikawa cells显示文摘 | Somkuti SG Yuan L Fritz MA | 1997 | J Clin Endocrinol Metab1997，82，7： | 1 |
| 9 | A method to compare and improve land cover datasets: Application to the GLC-2000 and MODIS land cover products 显示文摘 | See L M Fritz S | 2006 | IEEE Transactions on Geoscienee and Remote Sensing2006，44，： | 1 |
| 10 | Comparison of land cover maps using fuzzy agreement 显示文摘 | Fritz S See L | 2005 | International Journal of Geographical Information Science2005，19，7： | 1 |
| 11 | Epidermal growth factor and sex steroids dynamically regulate a marker of endometrial receptivity in Ishikawa cells显示文摘 | Somkuti S G Yuan L Fritz M A | 1997 | J Clin Endocrinol Metab1997，82，7： | 1 |
| 12 | Breast cancer treatment outcome with adjuvant tamoxifen relative to patient CYP2D6 and CP2C19 genotypes显示文摘 | Schroth W Antoniadou L Fritz P | 2007 | J Clin Oncol2007，25，33： | 1 |
| 13 | Object oriented unsteady vortex lattice method for flapping flight显示文摘 | Fritz T E Long L N | 2004 | Journal of Aircraft2004，41，6： | 1 |
| 14 | Dietary genistein: perinatal mammary cancer prevention, bioavailability and toxicity testing in the rat 显示文摘 | W A FRITZ L COWARD J WANG | 1998 | Carcinogenesis1998，19，： | 1 |
| 15 | Anderson Depen- dence of Critical Layer Thickness on Strain for lnxGa1_ ,As/ GaAs Strained-Layer Superlattices显示文摘 | Fritz I J Picraux S T Dawson L R | 1985 | Applied Physics Let- ters1985，46，： | 1 |
| 16 | Breast cancer treatment outcome with adjuvant tamoxifen relative to patient CYP2D6 and CYP2C19 genotypes显示文摘 | Schroth W Antoniadou L Fritz P | 2007 | J Clin Oncol2007，25，33： | 1 |
| 17 | The double line sign of osteonecrosis:evaluation on chemical shift MR images显示文摘 | Duda SH Micheal L Fritz S | 1987 | European Joural of Radiology1987，162，1： | 1 |
| 18 | Common bileduct obstruction due to malignancy:treatment with plastic versus metal stents显示文摘 | Johannes L Llaus AH Fritz F | 1996 | Radiology1996，201，1： | 1 |
| 19 | 显示文摘 | Thomas A Fritz L Disaster Relief Inc | 2006 | Harvard Bus- iness Review2006，，11： | 1 |
| 20 | Molecular Dynamics Simulations of the Transport of Water-ethanol Mixtures Through Polydime- thylsiloxa显示文摘 | FRITZ L HOFMANN D | 1997 | Polymer1997，38，5： | 1 |
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